Top 5 Errors in Workers’ Compensation Claims and How to Avoid Them

Workers' Compensation Claims

Did you know that 2.3 million women and men around the world succumb to work-related accidents or diseases every year?

If you’ve been injured on the job, you’ve likely thought about getting help for your injuries. Your access to a quality workers’ comp claim depends on getting accurate information, being assertive, and following the rules.

In this article, we’ll list some common errors in workers’ compensation claims so you can avoid them. Continue reading to start learning.

1. Submitting Incomplete Medical Reports

Employers who submit incomplete medical reports may be denied a claim. They may even be responsible for paying out higher medical costs resulting from the error.

Employers and insurers need to provide complete and accurate medical reports. It should detail all medical diagnoses, treatments, and prognoses. This can help ensure that medical reports are complete and accurate.

2. Failure to Classify Employees

This happens when employers fail to separate independent contractors from their employees. Without proper classification, employers may be unable to collect enough coverage for their workers. They may be legally liable for any injury or illness.

Proper classification of workers is the foundation of an effective workers’ compensation case. Employers must be aware of the duties of each worker. They should classify their employees as either non-exempt or exempt, salaried, and part-time or full-time.

3. Incorrect Coding of the Claim

The most common coding errors include misclassifying the injury and entering inaccurate treatment dates. This also includes failing to describe the circumstances of the injury and failing to list the specific body part that was affected.

To avoid these common errors, it’s important to get all the details of the incident in writing. Be sure to code the claim based on the information provided. Double-check that the codes reflect every element of the injury and all the treatments received.

4. Failing to Investigate Claim Discrepancies

It is essential to investigate irregularities in a claim to ensure accurate payment and avoid fraud. Employers should have a formal process in place to verify each claim. This includes including confirming wages, job duties, and dates of employment.

Investigate Claim Discrepancies

Employers should ensure that the claim supports all the medical services requested. This is to ensure that the injured party receives the benefits they’re entitled to. 

5. Not Seeking Out Experienced Legal Representation

The legal intricacies of workers’ compensation law can be complex. Failing to realize a provisional guarantee or failing to meet all statutory requirements can be costly mistakes.

An experienced legal professional can help injured worker assert their rights. They can educate them on the process and provide support in obtaining the maximum compensatory benefit available.

Working with an experienced law firm can help avoid costly and time-consuming errors. They can ensure that a worker’s rights are protected in their effort to obtain compensation from their employer.

To help you hire the best lawyer, check out the Philadelphia workers compensation law firm. They can help you avoid errors and ensure your claim is settled favorably and timely.

Evading the Errors in Workers’ Compensation Claims

Errors in workers’ compensation claims can be costly and time-consuming. To avoid them, employers should take the time to understand the process, ensure accurate record-keeping, and have appropriate policies and procedures in place.

By taking these steps, employers can prevent delays and mistakes. To start the claim filing process, contact a workers’ compensation attorney for professional assistance today!


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